| NPI | 1538325907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 1097) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: AK 1097) |
| 163WW0000X Registered Nurse, Wound Care (Licence: AK 1097) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-09-29 |